Order Uterovaginal Prolapse Discussion Questions

Order Uterovaginal Prolapse Discussion Questions
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Order Uterovaginal Prolapse Discussion Questions
1. Third-degree uterovaginal prolapse:
A. Causes stress incontinence.
B. Causes inversion of the uterus.
C. Is termed procidentia.
D. 1~ treat1c-d by abdon1inal hysterectomy
in patien ts under the age of 40 years.
E. 1~ treated ,vith Manchester repair.
2. Third degree nterovaginal prolapse is
treated by:
A. Insertion of a p essary during pregnancy.
B. Pelvic floor exercises.
C. Sacrohysteropexyif the woman wishes
to preserve fertility.
D. Vaginal hysterecton1y and repair.
E. Vaginal hysterecton1y.
Order Uterovaginal Prolapse Discussion Questions
3. Treatment methods for uterovaginal
prolapse include:
A. Anterior repair for stress incontinence.
B. Manchester operation for third degree
prolapse.
C. Pelvic floor exercises for third degree
prolapse.
D. Vaginal hysterectomy and repair for
first degree prolapse.
E. Vaginal hysterectomy and repair for
second degree prolapse.
(Ref.for questio11s 1-3: SBA Questions i11 Gynaavlogy,
chapter 17, pages 14.5-146).
154
Obstetrics and Gynaecology
4. Stages of prolapse using the pelvic organ
prolapse quantification (POPQ) system
are:
A. Stage O i~ descent of the uterus up to
the level of 1 cm below the isch ial
spmes.
B. Stage 1 is when the most distal part o f
the prolapse is more than 1 CDl above
the hymen.
C. Stage II i~ when the n1ost distal part
of the prolapse is 1 cn1 proximal to
the hyn1en or up to l CDl distal to the
hymen.
D. Stage III is when the most distal part
of the prolapse i~ beyond 1 cm distal
to the hymen.
E. Stage IV is total uterine p rolapse or
uterine procidentia.
(Ref for questio11 4: Jour11al of medicine a11d life,
Fe/Jruary 2011, Pelvic Orga11 l’rolapse Quantification
System (1’01’-Q)-t, 11ewem in pelvicprolupse staging
C l’ers,1, CR Clutpple, V 011111i, S Gutue, mrrl I’ C,eiro/ete).
5. Which of the following is suitable for
long-term treatment of second degree
uterovagina1 prolapse in a 35-year old
woman with three children who wishes
to preserve her uterus?
A. Anterior and posterior repair.
B. Insertion of a pessary.
C. Manchester operation.
D. Pelvic floor exerci~es.
E. Sacmhysteropexy
Order Uterovaginal Prolapse Discussion Questions
6. Treatment of a decubitus ulcer in a postmenopausaJ woman requires:
A. AdnJinistration of oral n1etronidazole.
8. Application of oe~trogen crean1.
C. Insertion of a pessary.
D. Insertion of a vaginal pack soaked
with saline.
E. Oral broad spectru1n antibiotics.
7. Indications for insertion of a pessary for
treatment of uterovaginaJ prolapse are:
A. Diabetes n1ellitus.
B. H ypP.rtension.
C. Intention to conceive in the near future.
D. Paralysis following a stroke.
E. First six months after delivery.
Ref. for questions 1-3 am/ 5-7:
• Gynaecology by Ten Teacliers, 19th editio11, chapter
17, pages, 158-160
• Single

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